Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.81 / $132.66 / $132.66	Professional		$65.81	$132.66	$132.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.76 / $132.63 / $132.63	Facility		$104.76	$132.63	$132.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.83 / $132.63 / $136.62	Professional		$96.83	$132.63	$136.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $48.80 / $106.72 / $151.51	Facility		$48.80	$106.72	$151.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $136.36 / $143.93 / $151.51	Professional		$136.36	$143.93	$151.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $113.19 / $136.36	Professional		$30.00	$113.19	$136.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $132.66 / $147.96 / $221.94	Facility		$132.66	$147.96	$221.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $106.06 / $106.06 / $159.09	Professional		$106.06	$106.06	$159.09
United Facility/Professional Professional Modifier Low / Median / High Price $69.89 / $75.59 / $116.48	Professional		$69.89	$75.59	$116.48